Individual
DR. PETER A PETROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2829 BABCOCK RD, SUITE 110, SAN ANTONIO, TX 78229-6028
(210) 614-5855
(210) 614-6240
Mailing address
2829 BABCOCK RD, SUITE 110, SAN ANTONIO, TX 78229-6028
(210) 614-5855
(210) 614-6240
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
E5204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102106501
—
TX
01
—
742778964
TX IDN
TX
01
—
83Z500
TX BC/BS
TX
Enumeration date
11/07/2005
Last updated
12/07/2009
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